4.6 Review

Memory Clinics and Day Care Centers in Thessaloniki, Northern Greece: 30 Years of Clinical Practice and Experience

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FRONTIERS IN NEUROLOGY
卷 12, 期 -, 页码 -

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FRONTIERS MEDIA SA
DOI: 10.3389/fneur.2021.683131

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memory; dementia; day care centers; educational programs; Alzheimer association; neurology departments; non-pharmacological interventions

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This review discusses the diagnostic and interventional procedures conducted in two university memory clinics and two day care centers in North Greece, and their contributions to the scientific field of dementia. By establishing a protocol that includes diagnosis criteria, neuropsychological assessment, laboratory examinations, and non-pharmacological interventions, the study has provided useful guidelines on treating major and minor neurocognitive disorders in Thessaloniki. Additionally, the establishment of patient databases, educational programs, and participation in international research programs has strengthened the network's contribution in the dementia field.
Background: This review describes the diagnostic and interventional procedures conducted in two university memory clinics (established network of G. Papanikolaou Hospital: 1988-2017 and AHEPA hospital: 2017-today) and 2 day care centers (established network of DCCs: 2005-today) in North Greece and their contribution in the scientific field of dementia. The aims of this work are (1) to provide a diagnosis and treatment protocol established in the network of memory clinics and DCCs and (2) to present further research conducted in the aforementioned network during the last 30 years of clinical practice. Methods: The guidelines to set a protocol demand a series of actions as follows: (1) set the diagnosis criteria, neuropsychological assessment, laboratory examinations, and examination of neurophysiological, neuroimaging, cerebrospinal fluid, blood, and genetic markers; and (2) apply non-pharmacological interventions according to the needs and specialized psychosocial interventions of the patient to the caregivers of the patient. Results: In addition to the guidelines followed in memory clinics at the 1st and 3rd Department of Neurology and two DCCs, a database of patients, educational programs, and further participation in international research programs, including clinical trials, make our contribution in the dementia field strong. Conclusion: In the current paper, we provide useful guidelines on how major and minor neurocognitive disorders are being treated in Thessaloniki, Greece, describing successful practices which have been adapted in the last 30 years.

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